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Koch Facial Plastic Surgery & Spa
Iowa native Dr. Cody Koch is a board‐certified facial plastic surgeon whose patients appreciate his warmth, professionalism, and exceptional results. An elite facial plastic surgery specialist, Dr. Brenton Koch earns your trust by combining a compassionate demeanor with refined surgical techniques.

Learn from our past patients in their own words what it's like to get a treatment from our team of specialists. From the moment I walked into the office, I was treated with dignity and respect, like a real person and not a number. Surgery had no surprises, I was totally prepared for what was going to happen, the honesty and integrity with which everyone conducts themselves is outstanding.
Services
At Koch Facial Plastic Surgery & Spa, we specialize in facial rejuvenation for the Des Moines area. When you come to our practice, you'll experience more than just a routine doctor appointment. Our doctors and their entire team understand that, for you, this may be a once-in-a-lifetime event. With that in mind, we have worked to build a staff and a facility that immediately make you feel welcome, safe, and cared for.
Brenton Koch, MD, FACS, is a board-certified facial plastic and reconstructive surgeon and native of Iowa. He is founder and director of Koch Facial Plastic Surgery & Spa in Des Moines, Iowa, where plastic surgery of the face is his exclusive specialty. His patients appreciate his kind, approachable personality and the natural-looking results he provides.
Pam Banyas, PA-C, is a very important member of the team at our Des Moines, Iowa, facial plastic surgery practice. She is a certified physician assistant with more than a decade of experience in the field of aesthetic medicine, in both surgical and clinical settings. Born and raised in Tama, Iowa, Pam is a graduate of the University of Northern Iowa and received her physician assistant training at Des Moines University.
Brent and Cody Koch and all the medical providers at our practice are supported by a professional staff that is specifically trained to care for plastic and reconstructive surgery patients. Each year, our team prepares for and performs hundreds of facial surgeries treating conditions relating to appearance, accident or disease.
Our location is built on the same foundation of confidence and service excellence that you've grown to love and trust. At this office, you can expect even more to feel good about from central Iowa's most well-trained staff and board-certified facial plastic surgeons, where we exclusively practice cosmetic and reconstructive surgery of the face.
Reviews (10)
Tisha Lenth
Tisha Lenth
Dec 07, 2021
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Pam does a wonderful job with Botox and fillers. She keeps everything looking natural and uses the product wisely so you get the most for your money. I'm always pleased with my results!
I would recommend her for any injections you might be considering!
Carly Welch
Carly Welch
Dec 06, 2021
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I went to see Darya for under eye filler. She quite literally nailed it. She listened to what I wanted to achieve and she understood the assignment! At 37, I’ve never looked better. I ended up going back for lip injections a couple weeks later and they look so beautiful and natural! I cannot say enough good things about my experience. I will never go anywhere else.
Bailey Haynes
Bailey Haynes
Oct 19, 2021
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I have been seeing Karli for a little over a year now. Not only is she kind she is so knowledgeable about what my skin needs. I tell her an issue I’m having and she has a solution. She was able to get my skin looking amazing for my wedding last weekend!
Blakelee Haines
Blakelee Haines
Sep 30, 2021
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I have been going to Brent for almost a year now and I couldn’t be more pleased with my services!!!!! The care, comfort, and knowledge he provides to his clients is exceptional. Another bonus is that his team is extremely smart, professional, and kind! Thank you!
Angel Mundt
Angel Mundt
Sep 22, 2021
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Absolutely love my time at Koch. Everyone is so nice and friendly. The truly care about their patients and I’m always happy with my outcome!
Kati Harper
Kati Harper
Sep 03, 2021
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Darya was absolutely incredible to work with!! Best med spa experience I've had in Des Moines hands down. My services were explained thoroughly to me, and I hardly had any pain at all with the injections (which I was not expecting!) I couldn't be happier with the outcome. Darya truly wants you to be happy with your results, and goes above and beyond to do so. Absolutely will be returning. Highly recommend!!
Danielle Knisley
Danielle Knisley
Sep 03, 2021
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Darya did an AMAZING job with my lip filler. Explained everything she was doing, understood what I was wanting. I will definitely be back to see her!
Katie C.
Katie C.
Apr 28, 2021
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I had lip filler done by Pam in December 2020. I got a full syringe of juvaderm in my lips and a bit in the smile lines. I felt as though Pam listened to the look I wanted to achieve while still injecting in the appropriate sites. The environment was very inviting and well maintained. I loved it so much I went back on 4/7/21 (my birthday) for another 0.4 mls. A nice perk of this med spa is they keep you're unused filler for a whole year and you can go back at any time free of charge to use the rest of the syringe your purchased. Each full syringe is $500, so it is expensive but worth it.
Jose C.
Jose C.
Nov 01, 2015
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I would like to share my ongoing and overall experience with Dr. Cody Koch. I relocated to Iowa from Dallas, TX where I had visited a total of 5 different doctors with regards to my acne scarring. They all recommended and executed on their plan to diminish the appearance of my acne scarring. Due to the propensity of hyperpigmentation on my skin, most had very ineffective treatments. Unfortunately, it didn't feel like the doctors in Dallas were committed to a long term approach, but rather something that would give me a more immediate result. Since moving to Iowa about 16 months ago, Dr. Cody
Geri D.
Geri D.
Mar 09, 2015
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Dr. Koch is amazing his bedside manner is awesome. I received a neck/jaw lift with lipo in April of 2013. I love my new look and feel so much better about my appearance. The staff are very friendly also. I would definitely recommend him he's the best in the Metro area.